Individual
ERICA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
Mailing address
824 HODGES LN, SEVIERVILLE, TN 37876-1910
(865) 805-8905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000088099
TN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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